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Missouri rates for HCPCS 61702

Simple Intracranial Arysm Vertebrobasilar Crcj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.00 / $4,889.39 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,262.61 / $4,027.16 / $4,815.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,517.00 / $14,717.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,624.00 / $4,857.26 / $7,269.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,375.40 / $5,864.51 / $8,651.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.00 / $4,814.04 / $11,343.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,437.39 / $7,487.40 / $28,223.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,489.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,226.09 / $6,019.25 / $10,141.02